Cleopatra McGovern, MD

Individual provider Active NPI Family Medicine Physician · Washington, DC

NPI 1346773587 · NPPES record last updated Nov 22, 2021

Key facts

NPI
1346773587
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD048668 (DC)
Practice address
4 Atlantic St SW
Washington, DC 20032-2350
Phone
(202) 540-9857
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, Inc (54 clinicians)

Practice addresses (Care Compare)

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747

Hospital & facility affiliations

  • Professional Healthcare Home health agency · Washington, DC · CCN 097049
  • Medstar Washington Hospital Center Hospital · Washington, DC · CCN 090011
  • George Washington Univ Hospital Hospital · Washington, DC · CCN 090001
  • Howard University Hospital Corp Hospital · Washington, DC · CCN 090003

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20201021002369 DC Practitioner - Family Practice 3476899246 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. Current
since Oct 5, 2020
Accepting new patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope Inc. Current
since Oct 5, 2020
Accepting new patients

Locations

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

Interoperability endpoints

  • Direct secure messaging: cleopatra.mcgovern@coh.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD048668 DC Yes

Addresses

Primary practice location

4 Atlantic St SW
Washington, DC 20032-2350

Mailing address

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857

Other practice location 1

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 22, 2021.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1346773587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-540-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-540-9857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353832",
            "country_code": "US",
            "telephone_number": "212-423-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "CLEOPATRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD048668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Family Medicine Physician in District of Columbia

Sources for this page

Verify at the official NPI Registry.